Kelly Martin, BS, MS
Nutritionist, Nutrition, Education in Lusby, MD. Individual provider (NPI-1).
NPI number1962014530
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1962014530
- Entity type
- Individual (NPI-1)
- Name
- Kelly Martin
- Credential
- BS, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | PA | Yes |
Practice location
225 Town Square DrLusby, MD 20657-6534
Phone 610-952-7881
Mailing address
48346 Long LnLexington Park, MD 20653-4527
Phone 610-952-7881
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